Evidence map›Paper›PMID 26731754›Full record

Trial reportAIDS (London, England)2016

Changes in oxidized lipids drive the improvement in monocyte activation and vascular disease after statin therapy in HIV.

Corrilynn O Hileman, Randi Turner, Nicholas T Funderburg, Richard D Semba, Grace A McComsey

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
8.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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  4. Interleukin 6 Blockade With Tocilizumab Diminishes Indices of Inflammation That Are Linked to Mortality in Treated Human Immunodeficiency Virus Infection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 1 country.

Corrilynn O HilemanaMetroHealth Medical CenterbCase Western Reserve University School of Medicine, Cleveland, OhiocWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MarylanddOhio State University School of Health and Rehabilitation Sciences, Division of Medical Laboratory Science, ColumbuseUniversity Hospitals Case Medical Center, Cleveland, Ohio, USA.
Randi Turner
Nicholas T Funderburg
Richard D Semba
Grace A McComsey
Case Western Reserve University · USGrace (United States) · USJohns Hopkins Medicine · USJohns Hopkins University · USThe Ohio State University · US

Funding

WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Sharon L. Hillier, JONATHAN KARN · 1994 to 2026
$50.0M
Oxidative stress and the pathogenesis of sarcopenia and disability in older womenR01AG027012 · NIA · JOHNS HOPKINS UNIVERSITY · PI SEMBA, RICHARD D · 2005 to 2018
$3.6M
Inflammation, Heart and BoneR01NR012642 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2010 to 2014
$2.5M
Klotho and the pathogenesis of cardiovascular diseaseR01HL111271 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI SEMBA, RICHARD D · 2012 to 2015
$1.5M
Cellular mediators of vascular inflammation in treated HIV infectionR56HL126563 · NHLBI · OHIO STATE UNIVERSITY · PI FUNDERBURG, NICHOLAS T. · 2014 to 2014
$810k
Tissue factor expression in HIV disease - Implications for cardiovascular riskR00HL108743 · NHLBI · OHIO STATE UNIVERSITY · PI FUNDERBURG, NICHOLAS T. · 2014 to 2016
$747k
Vitamin D Status, Inflammation and Cardiac Risk in HIVK23HL116209 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI HILEMAN, CORRILYNN OLESKY · 2013 to 2017
$734k
NHLBI NIH HHS K23 HL116209NHLBI NIH HHS K23HL116209NHLBI NIH HHS R00 HL108743NHLBI NIH HHS R00HL108743NHLBI NIH HHS R01 HL111271NHLBI NIH HHS R56 HL126563NIAID NIH HHS P30 AI036219NIA NIH HHS R01 AG027012NIA NIH HHS R01AG027012NINR NIH HHS NR012642NINR NIH HHS R01 NR012642
6 · The paper itself

Abstract

backgroundOxidative stress plays a significant role in atherosclerosis development. HIV infection has been linked with heightened cardiovascular disease risk. HMG-CoA reductase inhibitors may reduce oxidative stress and subsequently subclinical vascular disease in HIV. DESIGN/

methodsThis is a randomized, placebo-controlled trial to evaluate the effect of rosuvastatin in HIV-infected adults on stable antiretroviral therapy with low-density lipoprotein less than 130  mg/dl and increased inflammation or T-cell activation on subclinical vascular disease. Changes over 48 weeks in oxidative stress markers, oxidized low-density lipoprotein (oxLDL) and F2-isoprostane/creatinine ratio (F2-IsoP/Cr), were compared between groups. Spearman correlation and multivariable linear regression were used to evaluate relationships between changes in markers of oxidative stress, inflammation and monocyte activation and carotid intima media thickness (CIMT).

resultsOne hundred and forty-seven adults enrolled (72 to rosuvastatin and 75 to placebo). In the rosuvastatin group, oxLDL decreased significantly over 24 weeks compared to placebo [mean absolute change in log-oxLDL for rosuvastatin -0.2  ±  0.468 log U/l (P < 0.001 within-group) vs. placebo -0.018  ±  0.456 log U/l (P = 0.83 within-group); P = 0.004 between groups] and this change was linked with changes in soluble CD14 and proportion of patrolling monocytes (CD14dimCD16). Although oxLDL levels increased after initially declining and were not different from placebo at week 48, the early improvement in oxLDL was associated with improved CIMT at week 48. Changes in F2-IsoP/Cr were not significant between groups.

conclusionRosuvastatin decreases oxLDL levels early after initiation and is associated with decreased monocyte activation. Early improvement in oxLDL is linked with improved CIMT in treated HIV infection.

Indexed as

AdultAgedAnticholesteremic AgentsCarotid Intima-Media ThicknessCreatinineF2-IsoprostanesFemaleHIV InfectionsHumansLipoproteins, LDLMaleMiddle AgedMonocytesPlacebosRosuvastatin CalciumTreatment OutcomeAnticholesteremic AgentsCreatinineF2-IsoprostanesLipoproteins, LDLoxidized low density lipoproteinPlacebosRosuvastatin Calcium

Identifiers

PMID26731754
PMCPMC4703362
OpenAlexW2434245634

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.